Organization · Type 2 NPI
Star Healthcare Registry
Licensed Practical Nurse · Terry, MS
NPI number
1942565627
Active
Practice location
113 Maxwell Cv
Terry, MS 39170-9514
Mailing address
PO Box 13993
Jackson, MS 39236-3993
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Licensed Practical Nurse Primary | 164W00000X | P320903 (MS) |
Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
Other licensed practical nurse providers in Terry
About NPI 1942565627
Star Healthcare Registry's National Provider Identifier is 1942565627, issued on Jul 10, 2012. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Terry, MS. The record was last updated on Jul 10, 2012.